Bath & North East Somerset,
Swindon and Wiltshire (BSW)
Maternity Voices Partnership Plus

Bath & North East Somerset, Swindon and Wiltshire MVP and LMNS logo

Terms of Reference


The Bath, North East Somerset, Swindon and Wiltshire Maternity Voices Partnership Plus (MVPP) is the multi-disciplinary advisory and action forum of the Local Maternity System (LMS), bringing together service users, commissioners, early years’ service providers and public health. 

It influences the strategic direction of the maternal care pathway from conception to early parenthood across early year’s services within the Sustainable Transformation Plan (STP) footprint.  A key function of the group is to ensure providers and commissioners take account of, and respond to, the views and experiences of women and their families who use local maternity services.

It both uses a formal committee structure, with written agendas and minutes of discussions and decisions, and incorporates the principles and practice of participatory co-design and co-production through regular break-out sessions and small group work in order to ensure that the five principles of MVPs are at the core of the commissioning, monitoring and continuous improvement of maternity services.


Five Principles

An MVP creates and maintains a co-production forum for service users, service user advocates, commissioners, service providers and other strategic partners. Members and the collective forum operate on the following founding five principles:

  1. Work creatively, respectfully and collaboratively to co-produce solutions together.
  2. Work together as equals, promoting and valuing participation. Listen to, and seek out, the voices of women, families and carers using maternity services, even when that voice is a whisper (Berwick Report, 2013). Enable people from diverse communities to have a voice.
  3. Use experience data and insight as evidence.
  4. Understand and work with the interdependency that exists between the experience of staff and positive outcomes for women, families and carers.
  5. Forensic in the pursuit of continuous quality improvement with a particular focus on closing inequality gaps.


Aims and objectives

  1. The MSLC is a key vehicle for maintaining oversight of, and positively influencing, the strategic direction and effectiveness of the wider maternal care pathway from conception to early parenthood.

Its role includes:

  •   Guiding the implementation plan of elements of the local Maternity Transformation Plan (MTP), particularly those that require multi-agency involvement / the involvement of wider early years partners and service user engagement. 
  • Providing a critical link between maternity services and partner agencies also involved in providing support to women and their families during pregnancy and into early parenthood.
  • Ensuring women and their chosen support networks are partners in care and have a seamless experience throughout their journey from pregnancy to parenthood.
  • Fostering a culture of collaboration between maternity services and partner organisations within the LMS with practitioners working as a wider team supporting women and families during pregnancy and early parenthood.
  • Advising on, and promoting, maternal health improvement to enable women, their partners and families to optimise their physical and emotional health and wellbeing in preparation for pregnancy, birth and parenthood.
  • Promoting early identification of need, information sharing and timely, seamless and coordinated support from early year’s agencies.
  • Maintaining an oversight of maternal and infant health needs across the STP and ensuring the maternal care pathway is sensitive to the local population and geographical differences.


  1. The MVPP will ensure the voice of service users is integral to the implementation and oversight of the maternity transformation agenda and to any developments related to the maternal care pathway. Services commissioners and the provider units will take account of the views of women, partners and families using the service by:
  • Supporting the development of an LMS wide MVPP Network to ensure effective and far reaching service user co-production and co-design.
  • Routinely welcoming feedback from local service users
  • Receiving reports on patient feedback from service providers.
  • Pro-actively seeking feedback from service users across the LMS in a way that is representative.
  • Developing a relationship with Wiltshire, Swindon and Bath & North East Somerset Health Watch.


Membership and proceedings

  1. Core membership includes:
  • MVP Lead
  • Service users (from across the three areas)
  • Public Health Lead (one per Local Authority)
  • Head of Midwifery (one per provider organisation)
  • Midwife (one per provider organisation)
  • Acute Trust Divisional Managers (one per meeting)
  • Commissioning Manager (one per CCG)
  • General Practitioner (one per meeting)
  • Consultant Obstetrician(one per meeting)
  • Neonatologist / Neonatal Nurse
  • Health Visiting Manager (one per area)
  • Children’s Centre / Early Year’s Strategic Lead
  • Health Watch representatives (one per area)


  1. Associate members are invited as appropriate and include:
  • Family Nurse Partnership Lead
  • Specialist Leads for Vulnerabilities
  • Strategic Leads for Safeguarding
  • Local authority social care services
  • Anaesthetist
  • Antenatal and Newborn Screening Leads
  • Maternity Business Management
  • Board level maternity champions
  • Chaplaincy or bereavement services
  • Infant Feeding Leads
  • Health education providers
  • Obstetric physiotherapy
  • Perinatal and infant mental health services
  • Radiology / Sonography
  • Substance misuse


  1. Members of the MVPP should liaise with the groups or professions that they represent. This will include regular reporting on the activities of the MVPP to their group / colleagues and feedback to the MVPP.


  1. All core members have voting rights. Associate members do not have voting rights.


  1. Out of pocket expenses will be payable to service user members.


  1. The chair may invite individuals on an ad hoc basis to a meeting for particular items on the agenda.


  1. The MVPP may set up multi-disciplinary task and finish groups that include user members on an ad hoc basis to work on specific topics and report back to the MVPP. These sub groups may co-opt members as appropriate.


  1. Meetings will be held not less than four times a year.


  1. A quorum shall be a minimum of six core MSLC members, including deputies and must include user representation.



The current chair is a Director of Public Health within the LMS area.  In keeping with the principles of national MVPs, a selection process will be developed and implemented to identify new chairing arrangements. This may include a shared chairing role.

In the absence of the chair members shall elect one person to take the chair for the duration of the meeting.

The LMS / CCG Lead Commissioner for Maternity Services will ensure administrative support is provided to the committee and that a lead person is identified to link with the chair and MVP Lead.


Annual Programme and Reporting

An annual workplan will be agreed by MVPP members, progress will be reviewed regularly and an annual report will be produced for circulation to interested parties.


Managing conflict of interests

A conflict of interest involves a conflict between a public duty and a private interest, in which the person’s personal interest, e.g. a commercial interest or opportunity for self-promotion, could improperly influence the performance of their public duties and responsibilities. MVPs should manage any conflicts of interest and seek guidance if necessary. Healthwatch England has produced guidance on Conflicts of Interest and there is guidance available for charities –


Governance Arrangements

The governance arrangements are illustrated in the diagram below.


LMS Governance Framework

LMS Governance Framework


Agreed: April 24th 2019                                            

Review date: April 2020